Your Subtitle text

Medicare Office Policy

We have one of the best facilities providing excellent care to help senior and elderly patients. Instrument adjustment is the most safe technique for any older patients and/or patients having had surgeries.  Unfortunately, Medicare cannot be expected to resolve the costs of truly getting better.  Costs for treating extremity joint dysfunction (knees, shoulders, etc.) and its accompanying pain are not covered in any fashion, and yet we could help with these very common senior complaints.

LIMITATIONS OF CARE

Crafton Chiropractic has Medicare patients.  We accept these patients upon the recommendation from a friend or family member who is our current patient.  Always, however, the Medicare patient has been misinformed regarding chiropractic coverage.  We tried to use it, but there were too many limitations and regulations.  They just have not covered essential professional chiropractic activities, such as exams, x-rays, and therapies, to the point that we can give full and safe care.  Medicare requires us to pass these costs unto the patient.  It's better to sign Option 2, and not use Medicare at our office.   

We no longer participate with Medicare.  We have surrendered are PIN # and we cannot file any claim with Medicare. We have joined many medical and chiropractic doctors by not working with them.

All Medicare people must consider out of pocket participation. We have been doing this since January 1, 2017; ironically, we actually have more Medicare people using our services than before.  We have to consider whether we can expand on those who qualify for discounted fees with the ever increasing population who do not have health insurance options that will pay for the visit when they want. Currently, it appears we can file directly with Blue Cross Advantage programs under many limitations and restrictions, and I have seen this system change dramatically over the last ten years with a new restriction imposed in 2018. We are encouraged by being paid by BCBS, but we cannot guarantee anything backed by Medicare, so they could back charge us even though we have been paid forcing us to charge you. Use Advantage programs with suspicion!

ADVANTAGE PROGRAMS RESTRICT USE.  IF ASKED, BCBS WILL TELL YOU THAT YOU CAN REQUEST MORE VISITS, BUT THIS IS BECAUSE THEY HAVE TO TELL YOU THIS.  IN ACTUALITY, THEY ARE SO STRICT NOW THAT NOTHING IS APPROVED.  WE ONLY GET FORMAL DENIALS REQUIRING WE REFER YOU TO A MEDICAL SPECIALIST.  WE NO LONGER PREPARE THESE LENGTHY DOCUMENTS FOR MEDICAL NECESSITY. 

THEY ARE ACTUALLY VERY GENEROUS IN THE MARKETPLACE, SO LEARN TO COMPLY AND RESTRICT USE OF YOUR VISITS.

DR. CRAFTON'S OVERVIEW OF MEDICARE

"This Federal program and its bureaucratic empire is out to save money, make money from fines, intimidate, complicate and confuse, strain the physician and patient relationship, increase all medical costs, and thereby limit care just like any other insurance company or similar Federal program, but in this case, they monopolize the market, scapegoat for their own mismanagement, tax all people to pay primarily for themselves, others, and restrict freedom of choice.  You are paying for the poor health choices of others, and allowing personal health insurance to escape from their pensionized responsibilities."

"Chiropractors, primary care physicians of equal status by definition in every state of the union, have been working to receive full equity in Medicare and other Federally funded programs, programs paid for by the all American taxpayers, but I do not expect any significant changes, even though statistical government funded research overwhelmingly shows a significant financial savings with improved patient outcomes.  Medicare is still "Medi" or "Medical only" care.  Chiropractors who elect to see you, do so only at risk with a great amount of internal management costs for only a fraction of their overhead costs.  They do so out of their pocket because they care about you, value your profession, and hope that someday they will be able to truly change the way we provide care to our seniors."

"If you are the type of Medicare patient who believes that the Medicare system is a blessing, that drugs are necessary, that everything provided by a physician must be free, quick, expressed, and fast, and that you really do not want to play an active role in improving your health,  please do not come here expecting our office to be designed around this Medicare model.  Both my husband and I have Medicare, because it is forced on us.  My husband earned a full Blue Cross policy through his state educational retirement, but it no longer has equality with other teachers and now the government calls the terms."

"I truly hope that I will still be able to help you as I do other seniors.  Thank you in advance for giving me this opportunity."

"

                         Dr. Katherine Crafton